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Indiana rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.21 / $418.21 / $418.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.05 / $418.21 / $448.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.89 / $199.89 / $412.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.06 / $71.51 / $780.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $80.45 / $922.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $450.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $450.88 / $518.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $211.90 / $533.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.44 / $334.68 / $520.15